The past decade has seen major advances in image-guided spine surgery techniques, with robotically assisted approaches emerging in the last five years. While early adopters of this technology paved the way for more widespread use of navigated and robotic systems, barriers still exist. Navigation and Robotics in Spine Surgery by master spine surgeon Alexander Vaccaro and esteemed co-editors Jaykar Panchmatia, I. David Kaye, and Srinivas Prasad addresses existing issues such as the perception of increased upfront costs, intrusion on current workflow, and a lack of understanding about the potential ways these technologies can enhance the surgical experience and improve patient outcomes.

Organized into six sections, the book starts with evidence-based fundamentals of navigated spine surgery and robotics including discussion of instrumentation and mechanics. Sections 2-5 serve as a surgical handbook for spine surgeons who wish to introduce these technologies into practice or augment their current repertoire with more complex techniques. Topics range from more routine procedures such as navigated and robotic minimally invasive TLIF to complex approaches like intraoperative ultrasound guided intradural spinal tumor resection. The final section looks at future directions and potential new applications for these technologies.

Key Highlights

• An impressive group of international spine surgeons who pioneered navigation and robotic surgery techniques share invaluable tricks of the trade
• Discussion of fluoroscopy- and intraoperative CT-based platforms, applications for intraoperative sonography, and radiation exposure and minimization strategies
• Special topics include OR set-up and workflow, surmounting the learning curve, artificial intelligence, and lessons learned from other industries
• Procedural videos demonstrate the benefits of computer-assisted navigation and robotic techniques

This book is essential reading for orthopaedic surgery and neurosurgery residents and spine fellows who wish to learn about and incorporate these technologies into practice. Seasoned spine surgeons seeking to expand the scope of their navigated/robotic practice will benefit from chapters detailing advanced approaches.

Contents

۱ Principles of Navigated Pedicle Screw Placement
۲ Three-Dimensional Computer Assisted Navigation Platforms
۳ Intraoperative Ultrasound in Spine Surgery: A Versatile and Useful Adjunct
۴ Magnetic Resonance Imaging–Based Navigation
۵ Shared Control Robotics
۶ Telesurgical Robots
۷ Surpervisory-Controlled Robotics
۸ Radiation Exposure and Navigated Spinal Surgery
۹ Outcomes in Navigated Spinal Surgery
۱۰ Navigated Subaxial Cervical Spine Pedicle Screw Instrumentation
۱۱ Navigated Anterior Transoral Surgery for C1 and C2 Pathologies
۱۲ Navigated Posterior Correction of Pediatric Scoliosis
۱۳ Navigated Posterior Instrumentation of the Arthrodesed Spine
۱۴ Navigated Minimally Invasive Transforaminal Lumbar Interbody Fusion
۱۵ Robotic Instrumentation for Lumbosacral Spondylolisthesis
۱۶ The Role of Navigation in the Resection of Primary Spinal Tumor
۱۷ Surgical Management of Thoracolumbar Spinal Metastases Using Navigation
۱۸ Navigated Pelvic Fixation
۱۹ Navigated Sacroiliac Joint Fusion
۲۰ Navigation Balloon Kyphoplasty
۲۱ Outcomes in Robotic Spinal Surgery
۲۲ Robotic Subaxial Cervical Spine Pedicle Screw Instrumentation
۲۳ Navigated and Robotic Anterior Odontoid Peg Fracture Fixation
۲۴ Navigated and Robotic Posterior Atlantoaxial Fusion
۲۵ Robotic Posterior Thoracic Pedicle Screw Placement
۲۶ Robotic Minimally Invasive Transforaminal Lumbar Interbody Fusion
۲۷ Robotic Anterior Lumbar Interbody Fusion
۲۸ Intraoperative Ultrasound-Guided Intradural Tumor Resection
۲۹ Stereotactic Radiosurgery for Treatment of Primary and Metastatic Spinal Tumors
۳۰ Operating Room Design and Efficiency
۳۱ Mounting the Learning Curve with New Technologies
۳۲ Artificial Intelligence
۳۳ What We Can Learn from Other Industries
۳۴ Future Growth in Navigated and Robotic Spinal Surgery